The Efficacy of Nutrition Education on Anemia and Upper Arm Circumference among Pregnant Women in Aceh Besar District of Indonesia during the Covid-19 Pandemic

This study aimed to analyze the effects of nutrition education on anemia and upper arm circumference in pregnant women. It was a cluster-randomized control study involving 110 pregnant women. The nutrition education interventions, was a combination of offline and online sessions, conducted by trained Nutrition education staffs with a 1:5 ratio to pregnant women. Twelve education sessions were conducted for three months utilizing a nutrition booklet for pregnant women, food monitoring cards, and flyers shared on a social media WhatsApp group. The socio-demographic data were obtained through an interview method. The nutritional status collected, by measuring Mid Upper Arm Circumference (MUAC), and anemia was determined through a diagnosis by the family doctor. Data were analyzed using the chi-square test and the paired and independent t-tests, the confidence interval was set at 95%. Hemoglobin levels in the intervention group experienced a higher increase than in the control group. The MUAC in the intervention group increased by 0.8 cm while in the control group it was decreased by -2.7 cm. However, the Difference in Difference (DID) analysis did not show significant different for both parameters (p=0.198 and p=0.274). Chi square analysis showed that the prevalence of anemia at the end line point in the intervention group (3.6%) was significantly lower compared to the control group (14.5%) (p=0.047). The prevalence of the Chronic Energy Deficiency (CED) measured by MUAC decreased by 9% in the intervention group, and 1.8% in the control group. However, the difference in prevalence of CED was not statistically significant (p=0.696). The nutrition education within three months did not significantly increase the mean hemoglobin and MUAC. But considering the trend in decreasing anemia and CED prevalence in the intervention group, structured and routine nutrition education can be implemented as part of nutritional intervention in pregnant women to prevent anemia and CED to observe effects in a longer-term intervention

Efektifitas pemberian sari kedelai dan formula kedelai terhadap gula darah penderita diabetes mellitus tipe 2

Background : Diabetes mellitus is caused by a lack of insulin production in the body or insulin resistance. Soybeans can be used as a functional food to lower blood sugar levels because they have a low glycemic index value, sufficient fiber content, so they can slow down the absorption of food in the body, containing the amino acid arginine which is able to maintain the balance of the insulin hormone. Soybean isoflavones in the form of Genistein and Daidzein are useful for repairing cells, metabolizing glucose and fat, and protecting pancreatic cells.Methods : This type of research is a quasy experiment with a pre-post design with two treatment groups. The study was conducted from August to October 2020. The data collected were blood sugar levels, energy and carbohydrate intake, glycemic index, obesity status, physical activity and genetics. The research stages were: manufacture of soybean juice functional foods and soy formula. Functional food in the treatment group was given for 14 days. Data analysis used t-test dependent and independent statistical tests with a confidence degree of 95% (α 0.05) and continued with multiple linear regression analysis.Result : There is an effect of giving soy formula and soybean juice on blood sugar levels of people with Type 2 diabetes. The mean reduction in blood sugar levels in the group given soy formula was 26.30 mg/dl, while the group given soybean juice was 17.96 mg/dl.Conclution : Soybean formula can reduce blood sugar levels by 8.34 mg / dl greater than soybean juice. Physical activity carried out regularly has a role in reducing blood sugar levels by 33,828 mg / dl. Soybean juice and soy formulas can be used as alternatives to lower blood sugar levels in people with type 2 diabetes

Hubungan Kebiasaan Konsumsi Makanan Tinggi Lemak Jenuh Dengan Kadar Kolesterol Total Penderita Penyakit Jantung Koroner Rawat Jalan Di BLUD RSUD Meuraxa Banda Aceh

Masyarakat Aceh mempunyai kebiasaan mengkonsumsi makanan tinggi lemak jenuh seperti gulai kambing yang mengandung daging berlemak, otak, jeroan. Hal ini dikarenakan aktivitas kerja yang penuh, perubahan gaya hidup dan ekonomi yang meningkat. Pola makan itu dapat menyebabkan kolesterol didalam darah akan meningkat dan menyebabkan penyumbatan pada dinding pembuluh darah jantung. Tersumbat pembuluh darah arteri koronaria jantung maka menyebabkan penyakit jantung koroner. Rancangan Penelitian ini deskriptif analitik dengan pendekatan crossectional. Sampel adalah penderita penyakit jantung koroner. Jumlah sampel 32 orang. Pengambilan sampel secara purposif sampling. Jenis data yang dikumpulkan terdiri atas data primer yaitu kebiasaan konsumsi makanan tinggi lemak jenuh dan data sekunder yaitu kadar kolesterol total. Analisis data dalam penelitian ini menggunakan fisher’s exact test. Penyajian data disajikan dalam bentuk tabular dan tekstular. Hasil penelitian 29 orang mempunyai kebiasaan konsumsi makanan tinggi lemak jenuh tinggi dan kadar kolesterol total tinggi. Rerata konsumsi lemak jenuh 22,9 gr dan kadar kolesterol 246,22 mg/dl. Dimana konsumsi lemak tertinggi 30 gr, terendah 8 gr dan kadar kolesterol total tertinggi 310 mg/dl, terendah 187 mg/dl. Ada hubungan dengan p < 0,05. Kesimpulan terdapat hubungan kebiasaan konsumsi makanan tinggi lemak jenuh dengan kadar kolesterol total pada penderita penyakit jantung koroner rawat jalan

Hubungan Kebiasaan Konsumsi Makanan Tinggi Lemak Jenuh Dengan Kadar Kolesterol Total Penderita Penyakit Jantung Koroner Rawat Jalan Di BLUD RSUD Meuraxa Banda Aceh

Masyarakat Aceh mempunyai kebiasaan mengkonsumsi makanan tinggi lemak jenuh seperti gulai kambing yang mengandung daging berlemak, otak, jeroan. Hal ini dikarenakan aktivitas kerja yang penuh, perubahan gaya hidup dan ekonomi yang meningkat. Pola makan itu dapat menyebabkan kolesterol didalam darah akan meningkat dan menyebabkan penyumbatan pada dinding pembuluh darah jantung. Tersumbat pembuluh darah arteri koronaria jantung maka menyebabkan penyakit jantung koroner. Rancangan Penelitian ini deskriptif analitik dengan pendekatan crossectional. Sampel adalah penderita penyakit jantung koroner. Jumlah sampel 32 orang. Pengambilan sampel secara purposif sampling. Jenis data yang dikumpulkan terdiri atas data primer yaitu kebiasaan konsumsi makanan tinggi lemak jenuh dan data sekunder yaitu kadar kolesterol total. Analisis data dalam penelitian ini menggunakan fisher’s exact test. Penyajian data disajikan dalam bentuk tabular dan tekstular. Hasil penelitian 29 orang mempunyai kebiasaan konsumsi makanan tinggi lemak jenuh tinggi dan kadar kolesterol total tinggi. Rerata konsumsi lemak jenuh 22,9 gr dan kadar kolesterol 246,22 mg/dl. Dimana konsumsi lemak tertinggi 30 gr, terendah 8 gr dan kadar kolesterol total tertinggi 310 mg/dl, terendah 187 mg/dl. Ada hubungan dengan p < 0,05. Kesimpulan terdapat hubungan kebiasaan konsumsi makanan tinggi lemak jenuh dengan kadar kolesterol total pada penderita penyakit jantung koroner rawat jalan

Pre-conception Nutrition Care, Nutritional Knowledge, Nutritional Practices, and cultural Belief among pregnant women: A Qualitative Study in Aceh

Health care during pre-conception and pregnancy is one of the important factors that can improve pregnancy outcomes. This study aims to explore how pre-conception care, nutrition knowledge and practices, and the factors that influence it in pregnant women. This study used a cross-sectional design with a qualitative study approach. The subject was 11 pregnant women who were selected as well as 5 health workers. The data pre-conception of care and nutrition practices before pregnant, nutrition knowledge and nutrition practices, food taboo and suggestion, cultural belief influence, and data sources of information and nutritional information needs was carried out using the Focus Group Discussion. The results showed that most of the pregnant women did not get and done pre-conception nutrition care, had insufficient nutritional knowledge and the practice of balanced nutrition was still low. There is still an influence of cultural belief in the form of food taboos and food suggestions, and the lack of sources of information and nutritional information towards nutrition practice. It is necessary to develop media and nutrition educational methods to improve nutrition and health care  during pre-conception and pregnancy, and further studies are needed specifically on the role of family factors, especially grandmothers, mothers in-laws, and family members on nutrition practices in pregnant women

Effectiveness of the Rumoh Gizi Gampong (RGG) program to increase coverage of specific and sensitive indicators for accelerating stunting reduction in Aceh

Aceh is the province with the fifth-highest prevalence of stunting in Indonesia by 2022, which could be due to the low coverage of specific and sensitive intervention programs. This research aims to determine the effectiveness of the Rumoh Gizi Gampong (RGG) program in increasing the coverage of specific and sensitive indicators for reducing stunting in Aceh. A cross-sectional design was carried out in Aceh Province from February to September 2023. The input, process, and output variables for RGG implementation were collected using interview methods with 21 RGG program managers and 23 people in charge of district nutrition programs. Specific and sensitive indicator achievements were collected using secondary data from district reports for the years 2020 and 2021. Data analysis was performed using a Dependent T-test at a confidence level of 95%. The results showed that there was an increase in the average percentage coverage of specific and sensitive indicators after the RGG program was implemented, and only the immunization coverage indicator was implemented using the yard. The results of the statistical analysis showed a significant increase in the percentage of coverage of the health insurance service coverage indicator (p= 0,006). In conclusion, the Rumoh Gizi Gampong program can increase the coverage of indicators to accelerate stunting reduction, so that villages can make RGG an alternative intervention to accelerate stunting reduction

Deteksi dini kejadian sindrom metabolik melalui penyuluhan gizi, pengukuran Indeks Massa Tubuh (IMT) dan pemeriksaan tekanan darah serta kadar gula darah

Sindroma metabolik merupakan kumpulan kelainan metabolik komplek yang muncul sebagai faktor risiko penyakit kardiovaskular serta diabetes mellitus tipe II. Komponen utama sindrom metabolik diantaranya adalah obesitas abdomen, peningkatan kadar glukosa darah (sewaktu dan atau puasa), peningkatan tekanan darah dan dislipidemia. Penyuluhan gizi pada pengabdian ini diharapkan dapat meningkatkan pengetahuan mengenai sindrom metabolik yang berhubungan dengan penyakit kardiovaskular. Pengabdian masyarakat ini telah dilaksanakan pada tanggal 19-20 September 2022 di desa Lamrukam kecamatan Peukan Bada Aceh Besar. Peserta pengabmas adalah ibu-ibu yang memiliki resiko sindrom metabolic sebanyak 25 orang. Kegiatan pengabmas terdiri dari pre test untuk mengetahui pengetahuan masyarakat tentang sindrom metabolic, pengukuran tinggi badan (TB) dan berat badan (BB) untuk mengetahui status gizi peserta pengabmas, pemeriksaan tekanan darah, pengukuran gula darah, penyuluhan gizi dan post test. Hasil, status gizi peserta overweight yaitu 12 orang (48%), sedangkan tekanan darah   dan kadar gula darah normal yaitu 18 orang (72%) dan 22 orang (88%). rata-rata pengetahuan peserta sebelum penyuluhan gizi yaitu 36 sedangkan setelah dilakukan penyuluhan gizi rata-rata pengetahuan peserta menjadi 64,8. Hal ini dapat disimpulkan adanya peningkatan pengetahuan peserta sebesar 28,8%. Kesimpulan, penyuluhan pada peserta pengabdian masyarakat dapat meningkatkan pengetahuan masyarakat cara deteksi dini kejadian sindrom metabolik